| NPI | 1043849102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036.173400) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301507359) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-07-08 |